QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN
|
2013
|
141877758
|
2014-09-17
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Signature of
Role |
Plan administrator |
Date |
2014-09-17 |
Name of individual signing |
ARYEL NICOLEAU |
|
Role |
Employer/plan sponsor |
Date |
2014-09-17 |
Name of individual signing |
ARYEL NICOLEAU |
|
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN
|
2012
|
141877758
|
2013-10-08
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
AYREL NICOLEAU |
|
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN
|
2011
|
141877758
|
2012-10-12
|
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Plan administrator’s name and address
Administrator’s EIN |
141877758 |
Plan administrator’s name |
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC |
Plan administrator’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428 |
Administrator’s telephone number |
7184653040 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
DR. ARYEL NICOLEAU |
|
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN
|
2011
|
141877758
|
2012-10-05
|
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Plan administrator’s name and address
Administrator’s EIN |
141877758 |
Plan administrator’s name |
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC |
Plan administrator’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428 |
Administrator’s telephone number |
7184653040 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
ARYEL NICOLEAU, MD |
|
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN
|
2010
|
141877758
|
2011-10-27
|
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
620111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Plan administrator’s name and address
Administrator’s EIN |
141877758 |
Plan administrator’s name |
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC |
Plan administrator’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428 |
Administrator’s telephone number |
7184653040 |
Signature of
Role |
Plan administrator |
Date |
2011-10-27 |
Name of individual signing |
DR. NICOLEAU |
|
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN
|
2010
|
141877758
|
2011-12-21
|
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
620111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Plan administrator’s name and address
Administrator’s EIN |
141877758 |
Plan administrator’s name |
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC |
Plan administrator’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428 |
Administrator’s telephone number |
7184653040 |
Signature of
Role |
Plan administrator |
Date |
2011-12-21 |
Name of individual signing |
DR. NICOLEAU |
|
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN
|
2010
|
141877758
|
2012-01-05
|
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Plan administrator’s name and address
Administrator’s EIN |
141877758 |
Plan administrator’s name |
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC |
Plan administrator’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428 |
Administrator’s telephone number |
7184653040 |
Signature of
Role |
Plan administrator |
Date |
2012-01-05 |
Name of individual signing |
DR. NICOLEAU |
|
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN
|
2010
|
141877758
|
2011-11-01
|
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
620111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Plan administrator’s name and address
Administrator’s EIN |
141877758 |
Plan administrator’s name |
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC |
Plan administrator’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428 |
Administrator’s telephone number |
7184653040 |
Signature of
Role |
Plan administrator |
Date |
2011-11-01 |
Name of individual signing |
DR. NICOLEAU |
|
|
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN
|
2010
|
141877758
|
2011-10-13
|
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
620111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Plan administrator’s name and address
Administrator’s EIN |
141877758 |
Plan administrator’s name |
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC |
Plan administrator’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428 |
Administrator’s telephone number |
7184653040 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
DR. NICOLEAU |
|
|
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC PROFIT SHARING PLAN
|
2009
|
014177758
|
2010-10-06
|
QUEENS VILLAGE PRIMARY MEDICAL CARE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184653040
|
Plan sponsor’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
|
Plan administrator’s name and address
Administrator’s EIN |
014177758 |
Plan administrator’s name |
QUEENS VILLAGE PRIMARY MEDICAL CARE |
Plan administrator’s
address |
92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428 |
Administrator’s telephone number |
7184653040 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
DR. NICOLEAU |
|
|